Fabiola Merchant, CNM, ANP is a medicare enrolled "Advanced Practice Midwife" physician in Cottonwood, Arizona. Her current practice location is
203 S Candy Ln Ste 6ab, Cottonwood, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 634-0391.
Fabiola Merchant is licensed to practice in Arizona (license number 218773) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629546601.
Physician's Profile
Full Name | Fabiola Merchant |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 203 S Candy Ln Ste 6ab, Cottonwood, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629546601
- Provider Enumeration Date: 11/07/2018
- Last Update Date: 06/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 5294075172
- Enrollment ID: I20190313001670
Medical Identifiers
Medical identifiers for Fabiola Merchant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629546601 | NPI | - | NPPES |
218773 | Other | AZ | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VX0000X | Obstetrics & Gynecology - Obstetrics | 218773 (Arizona) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | 218773 (Arizona) | Secondary |
367A00000X | Advanced Practice Midwife | 218773 (Arizona) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fabiola Merchant allows following entities to bill medicare on her behalf.
Entity Name | Bella Vita Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275889412 PECOS PAC ID: 8921259995 Enrollment ID: O20121126000039 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fabiola Merchant is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fabiola Merchant, CNM, ANP 203 S Candy Ln Ste 6ab, Cottonwood, AZ 86326-4120 Ph: (928) 634-0391 | Fabiola Merchant, CNM, ANP 203 S Candy Ln Ste 6ab, Cottonwood, AZ 86326-4120 Ph: (928) 634-0391 |
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